动态血糖监测系统对2型糖尿病患者血糖漂移的影响 |
| |
引用本文: | 朱志刚,郭向阳,张素梅,李豫.动态血糖监测系统对2型糖尿病患者血糖漂移的影响[J].中国现代医生,2014(20):124-126. |
| |
作者姓名: | 朱志刚 郭向阳 张素梅 李豫 |
| |
作者单位: | 河南省信阳市中心医院内分泌科,河南信阳464000 |
| |
摘 要: | 目的观察动态监测2型糖尿病(T2DM)患者血糖漂移的细节及波动趋势,为合理的治疗方案提供临床依据。方法采用动态血糖监测系统(CGMS)对86例T2DM患者进行72 h动态血糖监测,并对第1日及第3日评估参数进行分析。结果 24 h平均血糖水平(24 h MBG)由胰岛素剂量调整前的(10.7±2.7)mmol/L降至(7.9±1.6)mmol/L(P〈0.05);调整后日内平均血糖波动幅度(MAGE)由(5.5±1.6)mmol/L降至(2.3±1.0)mmol/L(P〈0.05);胰岛素剂量调整前后血糖的时间百分比均明显下降,PT1(≤3.9 mmol/L)由0.8%降至0.3%,PT3(≥7.8mmol/L)由(32.7±7.5)%降至(14.7±3.1)%(P〈0.05);血糖低于5 mmol/L的平均发生次数由1.6次降至0.7次(P〈0.05)。结论动态血糖监测系统能详细地显示T2DM患者血糖漂移的幅度和趋势,辅助临床医师制定更为针对性的降糖方案,有效控制血糖波动和低血糖的发生,缩短住院时间。
|
关 键 词: | 动态血糖监测 2型糖尿病 血糖漂移 |
The efficacy of glucose excursion by the continuous glucose monitors system in the patients with type 2 diabetes |
| |
Authors: | ZHU Zhigang;GUO Xiangyang;ZHANG Sumei;LI Yu |
| |
Institution: | ZHU Zhigang;GUO Xiangyang;ZHANG Sumei;LI Yu;(Department of Endocrinology,the Central Hospital of Xinyang City in He'nan Province; Xinyang 464000, China) |
| |
Abstract: | Objective To explore the efficacy of glucose excursion by the continuous glucose monitors system(CGMS)in the patients of type 2 diabetes. Methods A total of 86 T2 DM cases were enrolled. All patients were observed with CGMS for 72 hours. All the indexes were compared between the first day and the third day. Results The 24 h average blood glucose(24 h MBG) levels by insulin dose tendency reduced from(10.7±2.7) mmol/L to(7.9±1.6) mmol/L before the adjustment tendency(P 0.05); Adjusted days average blood glucose fluctuation(MAGE) tendency reduced from(5.5±1.6)mmol/L to(2.3±1.0) mmol/L tendency(P 0.05); Insulin dose before and after the adjustment blood glucose were significantly decreased as a percentage of the time of PT1(≤3.9 mmol/L tendency)reduced from 0.8% to 0.3%, the PT3(≥7.8 mmol/L tendency) reduced from(32.7±7.5)% to(14.7±3.1)%(P〈0.05); Blood sugar lower than 5 mmol/L tendency for the average frequency reduced from 1.6 times to 0.7 times(P〈0.05). Conclusion Dynamic blood sugar monitoring system can display the extent of T2 DM patients blood sugar drift in detail and the trend of more targeted hypoglycemic auxiliary clinician, effective control of blood glucose fluctuation and the occurrence of hypoglycemia,shorten hospitalization time. |
| |
Keywords: | Continuous glucose monitors system Type 2 diabetes Glucose excursion |
本文献已被 维普 等数据库收录! |
|